Darlene Mulyanto-mong, - Medicare Nurse Practitioner in Orange, CA

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Darlene Mulyanto-mong, is a medicare enrolled "Nurse Practitioner - Acute Care" in Orange, California. Her current practice location is 101 The City Dr S, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 456-7890.

Darlene Mulyanto-mong is licensed to practice in California (license number 95004975) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255873717.

Contact Information

Darlene Mulyanto-mong,
101 The City Dr S,
Orange, CA 92868-3201
(714) 456-7890
Not Available

Map and Direction




Provider's Profile

Full NameDarlene Mulyanto-mong
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location101 The City Dr S, Orange, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255873717
  • Provider Enumeration Date: 11/14/2016
  • Last Update Date: 09/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335420710
  • Enrollment ID: I20161222000854

Medical Identifiers

Medical identifiers for Darlene Mulyanto-mong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255873717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95004975 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Darlene Mulyanto-mong allows following entities to bill medicare on her behalf.
Entity NameCounty of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412
Entity NameWillow Brook Critical Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811520224
PECOS PAC ID: 3476975319
Enrollment ID: O20200622002378

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darlene Mulyanto-mong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Darlene Mulyanto-mong,
1038 Oban Dr,
Los Angeles, CA 90065-4257

Ph: Not Available		Darlene Mulyanto-mong,
101 The City Dr S,
Orange, CA 92868-3201

Ph: (714) 456-7890

Reviews and Comments


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Anna Katrina Cruz,
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Elen G Araya, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.